Substance Abuse Treatment, Prevention, and Policy最新文献

{"title":"Substance use disorder prevalence in Sierra Leone: a sex-disaggregated analysis using the World Health Organization equity data.","authors":"Augustus Osborne","doi":"10.1186/s13011-025-00690-6","DOIUrl":"10.1186/s13011-025-00690-6","url":null,"abstract":"<p><p>BACKGROUND: Substance use disorders (SUDs) pose notable public health challenge worldwide, with disparities often observed across demographic groups. However, there is limited evidence on the prevalence and sex-based inequalities of SUDs in Sierra Leone. This study aimed to analyze the prevalence of SUDs in Sierra Leone from 2000 to 2019, with a focus on sex-disaggregated trends and inequalities using data from the World Health Organization (WHO) equity data repository. METHODS: This cross-sectional study used age-standardized prevalence estimates of substance use disorders per 100,000 population from the WHO equity data repository accessed via the Health Equity Assessment Toolkit (HEAT). The WHO repository compiles and harmonizes data from multiple sources (e.g., national surveys, censuses, administrative records) and produces standardized, model-based estimates aligned with ICD-10 diagnostic categories. The study extracted sex-disaggregated estimates for Sierra Leone from 2000 to 2019, along with inequality measures (absolute difference, prevalence ratio, population attributable fraction, population attributable risk) that are pre-computed within HEAT. It conducted no independent statistical computations outside HEAT; my role involved defining the analytic scope, extracting, verifying, and interpreting HEAT outputs. RESULTS: The prevalence of SUDs in Sierra Leone remained relatively stable from 2000 to 2015, fluctuating between 821.6 and 824.5 per 100,000 population. However, a notable increase was observed between 2015 and 2019, with the prevalence rising to 845.1 per 100,000 population in 2019. Across all years, males consistently exhibited higher prevalence rates compared to females. In 2019, the prevalence among males was 975.6 per 100,000 (95% CI: 844.2–1112.6), while the prevalence among females was 718.3 per 100,000 (95% CI: 612.9–848.5). The absolute difference (D) in prevalence between males and females ranged from − 234.7 in 2005 to -257.3 in 2019, and the prevalence ratio (R) remained stable at approximately 0.7, indicating that males were 1.3 to 1.4 times more likely to experience SUDs than females. Despite this persistent disparity, the population attributable fraction (PAF) and population attributable risk (PAR) were consistently recorded as 0.0, suggesting that sex-based differences did not significantly impact the overall burden of SUDs in the population. CONCLUSIONS: The findings show a consistent sex-based disparity in the prevalence of SUDs in Sierra Leone, with males bearing a significantly higher burden than females. While the overall prevalence remained stable over two decades, the recent increase underscores the need for targeted public health interventions to address the rising burden of SUDs. Policymakers should prioritize sex-specific strategies to mitigate these disparities and strengthen prevention and treatment programs. Future research should explore the underlying factors driving these trends and disparities","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":"52"},"PeriodicalIF":3.4,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12752395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial correlates of co-workers' responses to alcohol problems in the workplace - a cross-sectional survey among medical personnel in Poland.","authors":"Justyna Klingemann, Harald Klingemann, Agnieszka Borowiec, Halina Sienkiewicz-Jarosz","doi":"10.1186/s13011-025-00693-3","DOIUrl":"10.1186/s13011-025-00693-3","url":null,"abstract":"<p><p>BACKGROUND: The health of medical staff impacts the quality of patient care. Work-related alcohol issues are in this regard well-documented, linking consumption to adverse outcomes. However, healthcare workers’ responses to perceived alcohol problems, which are crucial for Employee Assistance Programs (EAPs) success, remain under-researched. METHODS: The study surveyed 655 Polish healthcare workers in autumn 2024 by computer assisted personal interviewing (CAPI). The quota sample included 50% hospital staff and 50% from other facilities, based on the Medical Personnel Data portal. Instruments used included the Copenhagen Psychosocial Questionnaire (COPSOQII, measuring workplace stress and support) and the Rapid Alcohol Problems Screen (RAPS4), covarying with co-workers’ responses to alcohol issues in the workplace. RESULTS: In hypothetical scenarios, respondents were more likely to take action in relation to problems with alcohol (85%) compared to real situations (72%), with the most common response being direct confrontation with the colleague under suspicion. Organizational support, particularly from supervisors, significantly influenced responses, with higher support correlating with a greater likelihood of direct or indirect action, though no predictor remained significant in real-life situations. Additionally, professional hierarchy played a role, as lower-status medical professionals were more cautious in responding, and treatment effectiveness optimism influenced indirect responses in hypothetical cases but had no impact in real situations. CONCLUSIONS: This study examines how personal attitudes, workplace norms, and perceived organizational social support shape medical professionals’ responses to alcohol-related issues. While many recognize the risks involved, a gap exists between hypothetical and real-life interventions. Trust in superiors fosters proactive responses, highlighting the need for clear policies, targeted training, and EAPs (Employee Assistance Programs) to be implemented in order to balance accountability with employee dignity and privacy. </p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":"10"},"PeriodicalIF":3.4,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12879469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145820804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Staying motivated by anchoring on values: a mixed methods study on the workplace well-being and addiction beliefs of substance use professionals in Singapore.","authors":"Jing En Cher, Joanna Barlas, Maria Hennessy, Jonathan E Ramsay, Sherry Aw","doi":"10.1186/s13011-025-00691-5","DOIUrl":"10.1186/s13011-025-00691-5","url":null,"abstract":"<p><strong>Purpose: </strong>Professionals providing substance use treatment services often report poor workplace well-being. Moreover, professionals' beliefs about addiction may influence their view of clients, treatment delivery and their well-being at work. Most research has been undertaken in Western countries, hence this study investigated workplace well-being and addiction beliefs of substance use (SU) professionals in Singapore.</p><p><strong>Methods: </strong>A mixed-methods design was employed. Fifteen participants completed questionnaires related to their well-being at work and addiction beliefs, before participating in a semi-structured interview.</p><p><strong>Results: </strong>Descriptive analyses revealed that most participants experienced a moderate level of satisfaction with their work and moderate burnout. Reflexive thematic analysis generated four themes: (1) deriving and maintaining meaningfulness; (2) clarity of role and support for effective performance; (3) holding a multidimensional and nuanced view of addiction promotes satisfaction and motivation; and (4) navigating systemic challenges. Workplace well-being was negatively impacted by perceptions of organisational and systemic challenges.</p><p><strong>Conclusions: </strong>SU professionals derived satisfaction and stayed motivated by crafting their work to re-align with their personal values and beliefs, finding role-clarity, adopting a multidimensional and flexible model of addiction and having external support. Implications highlight the role that organisational training, supervision and career development can play in supporting SU professionals.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":"54"},"PeriodicalIF":3.0,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12751799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The multidimensional social ecological needs and service utilization patterns of youth using non-medical prescription opioids: an observational study of routinely collected data in a provincial integrated youth services initiative.","authors":"Kirsten Marchand, Guiping Liu, Katherine G Hastings, Heather Palis, Steve Mathias, Jason M Sutherland, Skye Barbic","doi":"10.1186/s13011-025-00682-6","DOIUrl":"10.1186/s13011-025-00682-6","url":null,"abstract":"<p><strong>Background: </strong>The present study aimed to identify opportunities for earlier intervention of non-medical prescription opioid use (NMPOU) among youth (aged 12-24) by characterizing the multidimensional social ecological needs of youth reporting NMPOU and their service utilization patterns in an expanding integrated youth services network.</p><p><strong>Methods: </strong>The sample (n = 6181) included youth who accessed a novel integrated youth services (IYS) network in British Columbia, Canada, which delivers five core service streams for youth health and well-being through coordinated services. Analyses were conducted on routinely collected data drawn from youths' self-reported demographic and health measures and service provider-reported service utilization data. Multivariable logistic regression identified factors associated with past 30-day NMPOU and multivariable Poisson regression was used to compare service utilization outcomes between youth with and without NMPOU.</p><p><strong>Results: </strong>A total of 248 (4%) youth reported past 30-day NMPOU. Multidimensional factors independently associated with NMPOU included poor self-rated physical health compared to excellent/very good physical health (adjusted odds ratio (aOR) = 2.51, 95% Confidence Interval (95% CI) = 1.39, 4.56), high likelihood of externalizing mental health disorders compared to low likelihood (aOR = 1.72, 95% CI = 1.03, 2.86), past 30-day illicit polydrug use compared to none (aOR = 10.00, 95% CI = 5.89, 16.99), and past 3-month exposure to violence compared to none (aOR = 2.18, 95% CI = 1.62, 2.92). Rates of service utilization were similar between youth with and without NMPOU (adjusted relative rate = 1.02, 95% CI = 0.95, 1.32).</p><p><strong>Conclusions: </strong>These findings indicate that youth with NMPOU present to IYS with several individual, interpersonal, and community-related social ecological needs. Integrated care models may be beneficial to address these multidimensional needs and reduce barriers to service utilization, thereby providing opportunity for earlier intervention of NMPOU among youth. Future research should examine the extent to which IYS reduce the incidence of NMPOU and improve opioid-related health and social outcomes among youth.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"51"},"PeriodicalIF":3.0,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12659418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public support of and attitudes toward decriminalization of possession of illegal drugs among the general population in British Columbia.","authors":"Sameer Imtiaz, Cayley Russell, Farihah Ali, Tara Elton-Marshall, Sean Patenaude, Jürgen Rehm","doi":"10.1186/s13011-025-00680-8","DOIUrl":"10.1186/s13011-025-00680-8","url":null,"abstract":"<p><p>BACKGROUND: Decriminalization of possession of illegal drugs was implemented in British Columbia, Canada for a three-year period starting from January 31, 2023. As public sentiment played a large role in the outcome of a similar reform in Oregon, United States, it is important to examine the public’s perceptions of this policy. We examined public support of and attitudes toward decriminalization. METHODS: Data were from an online, non-probability, cross-sectional survey of adults who spoke English and resided in British Columbia (N = 1,202; March to April 2024). One item assessed support of decriminalization, and ten items assessed attitudes toward decriminalization. The analytical strategy involved descriptive statistics and multinomial logistic regression. RESULTS: In regards to support of decriminalization, 41% did not support decriminalization, 26% were neutral or not sure about supporting decriminalization and 33% supported decriminalization. The majority agreed that decriminalization will reduce criminalization of drugs (50%) and encourage drug use experimentation (53%). More agreed (44%) than disagreed (28%) that decriminalization made them feel less safe. The majority disagreed that decriminalization will reduce overdoses (55%) and drug-related crimes (50%). Older age was associated with an increased likelihood of not supporting decriminalization compared with being neutral or not sure about supporting decriminalization (OR [95% CI]: 1.97 [1.35 to 2.88] for 40 to 59 years old; 1.89 [1.19 to 3.02] for ≥ 60 years old), and female or another gender was associated with a decreased likelihood of supporting decriminalization compared with being neutral or not sure about supporting decriminalization (0.66 [0.47 to 0.91]). CONCLUSIONS: Public support of decriminalization was not strong, which may be rooted in lack of robust confidence in decriminalization to achieve its goals and increased public safety concerns. These findings necessitate ongoing evaluations of the policy and increasing knowledge mobilization activities to keep the public abreast of the latest developments. </p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"50"},"PeriodicalIF":3.4,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12604220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145489897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Now that we've opened the door\": challenges recovery home directors face when housing residents receiving medication for opioid use disorder.","authors":"Jodie M Dewey, Justin S Bell, Juleigh Nowinski Konchak, Keiki Hinami, Dennis P Watson","doi":"10.1186/s13011-025-00678-2","DOIUrl":"10.1186/s13011-025-00678-2","url":null,"abstract":"<p><p>Medications for opioid use disorder (MOUDs) are a well-established treatment strategy. Supported by evidence of their effectiveness to reduce opioid misuse, they promote stabilization, prevent overdose deaths, and promote long-term recovery. Unfortunately, many individuals prescribed MOUDs face stigma inaccessing other recovery support resources. Recovery homes (RH), also known as recovery residences or sober living homes, are residential environments designed to support and provide structure to individuals working to achieve sobriety. However, some RHs have historically been unsupportive, with some explicitly denying entry to those prescribed MOUDs. The purpose of this study is to better understand obstacles hindering successful RH placement and support for those receiving MOUDs, as perceived by three groups participating in a housing navigation pilot: recovery home directors, individuals referred to a housing navigation helpline, and recovery coach navigators employed by a behavioral health organization that connects referred clients to recovery homes. Data from these three groups were collected as part of a larger evaluation of a housing linkage pilot. Semi-structured interviews were conducted with each group to ascertain barriers to supporting recovery home residents receiving MOUDs. Findings show the logistical barriers recovery homes face providing access and support for residents receiving MOUDs. Part of this challenge stems from the strict abstinence focus of RHs supported by many, but not all staff. While some directors employ strategies to support residents receiving MOUDs, they unintentionally employ stigma-driven practices that can undermine medication uptake and destabilize the recovery trajectory for residents living in recovery housing. To best support this population, RH staff need more education around evidence-based medication and support to address logistical challenges serving this population, such as providing timely and consistent medication access, especially for those arriving from carceral settings. Finally, to implement effective strategies to destigmatize medications and integrate residents receiving MOUDs, training is needed to help staff understand laws and policies that inform their work.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"49"},"PeriodicalIF":3.4,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12584254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145445980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dual abstinence from nicotine vaping and cannabis use among young people: secondary analyses from two U.S.-based randomized controlled trials of vaping cessation.","authors":"Amanda L Graham, Sarah Cha, Elizabeth K Do, Megan A Jacobs, Giselle Edwards, George D Papandonatos","doi":"10.1186/s13011-025-00679-1","DOIUrl":"10.1186/s13011-025-00679-1","url":null,"abstract":"<p><strong>Objective: </strong>To examine patterns of abstinence from nicotine vaping and cannabis use among adolescent and young adult (YA) e-cigarette users in two text message vaping cessation trials.</p><p><strong>Methods: </strong>Among adolescents with complete 7-month data (n = 1,016) at baseline, 25.4% were Exclusive E-cigarette Users (no past 30-day cannabis use) and 74.6% were Dual Users (past 30-day cannabis use). Among YAs with complete 7-month data (n = 1,829), 40.8% were Exclusive E-cigarette Users and 59.2% were Dual Users at baseline. Primary analyses examined the proportion of participants who were Dual Abstinent at 7-months by treatment arm differences. We also examined for interaction effects between baseline product use and vaping status at 7 months on cannabis use outcomes.</p><p><strong>Results: </strong>At 7-months, adolescent categories of use were: Dual Abstinent, 31.7% (95% CI: 28.8, 34.6); Exclusive E-cigarette Users, 18.2% (95% CI: 15.9, 20.7); Exclusive Cannabis Users, 15.1% (95% CI: 12.9, 17.4); Dual Users, 35.0% (95% CI: 32.1, 38.1). Among YAs: Dual Abstinent, 15.6% (95% CI: 13.9, 17.3); Exclusive E-cigarette Users, 29.4% (95% CI: 27.3, 31.6); Exclusive Cannabis Users, 12.8% (95% CI: 11.3, 14.5); Dual Users, 42.2% (95% CI: 39.9, 44.5). Intervention outperformed Control in promoting rates of Dual Abstinence among adolescents (38.5% vs. 25.0%, p < 0.0001) and YAs (17.9% vs. 13.3%, p = 0.007). A higher proportion of Exclusive E-cigarette Users compared to Dual Users were Dual Abstinent at follow-up (adolescents: 37.6% vs. 29.7%, p = 0.019; YAs: 25.8% vs. 8.5%, p < 0.001).</p><p><strong>Conclusion: </strong>A text message nicotine vaping cessation intervention promoted dual abstinence from e-cigarettes and cannabis among adolescents and YAs. Dual abstinence rates were higher among exclusive vapers than dual users, signaling the need to optimize cessation programs for dual users.</p><p><strong>Trial registration: </strong>Studies included were registered on ClinicalTrials.gov (NCT04251273, registered on January 31, 2020; NCT04919590, registered on June 9, 2021).</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"48"},"PeriodicalIF":3.0,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12581282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tramadol use among young commercial drivers in Tamale Metropolis: a concurrent triangulation mixed-methods study.","authors":"Prosper Awini Awugah, Abdulai Tanko, Dennis Bomansang Daliri, Daniel Adjei, Nancy Abagye","doi":"10.1186/s13011-025-00677-3","DOIUrl":"10.1186/s13011-025-00677-3","url":null,"abstract":"<p><strong>Background: </strong>Non-medical use of tramadol has emerged as a significant public health concern in Ghana, particularly among young commercial drivers. Despite its growing prevalence, there is a lack of mixed-methods research exploring both the quantitative patterns and underlying motivations for the inappropriate use of tramadol. This study adopts a concurrent triangulation mixed-methods design to investigate the key factors driving tramadol use among young commercial drivers in the Tamale Metropolis.</p><p><strong>Methods: </strong>A total of 434 participants were recruited through convenience sampling for the quantitative component, while 50 individuals who use tramadol participated in seven focus group discussions using snowball sampling. The study examined patterns of tramadol use, reasons for consumption, modes of intake, and sources of supply among young commercial drivers.</p><p><strong>Results: </strong>The findings indicate that 60.1% of participants used tramadol for non-medical purposes, with 41.5% consuming it daily. The primary motivation for use was to enhance physical performance (39.2%), followed by pain relief (19.4%). Regarding the mode of consumption, 43.5% mixed tramadol powder with energy drinks, while 31.6% swallowed the tablets with water. On average, participants consumed 155 mg of tramadol daily, often in unauthorized high-dose formulations. Alarmingly, 72.8% of users sourced tramadol from the black market.</p><p><strong>Conclusion: </strong>The study highlights the widespread misuse of high-dose, non-prescribed tramadol among commercial drivers in the Tamale Metropolis. The illicit supply chain and unregulated distribution exacerbate the crisis. Addressing this issue requires stringent regulation of drug importation and distribution, alongside targeted awareness campaigns to educate young drivers about the risks associated with the inappropriate use of tramadol.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"47"},"PeriodicalIF":3.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12548218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engagement and retention in a motivational, discovery, and transitional track based substance use disorder recovery program: evaluation, facilitators and barriers.","authors":"Terry Lee Bunn, Robin Thompson, Madison Ashworth, Ernest Fletcher","doi":"10.1186/s13011-025-00676-4","DOIUrl":"10.1186/s13011-025-00676-4","url":null,"abstract":"<p><p>BACKGROUND: St. Matthew’s House® Justin’s Place® Recovery Program (JPRP) is a substance use disorder recovery housing program that employs Motivational, Discovery, and Transitional Tracks. This study examined whether resident retention, resumption of substance use, family relationship restoration, and acquisition of employment were associated with JPRP completion. METHODS: Secondary quantitative data from individuals with a substance use disorder who were accepted into the JPRP program and who stayed for at least one day (n = 447) was collected from January 1, 2022-August 31, 2024. Characteristics of the JPRP and its residents were identified. Logistic regression was utilized to determine the resident and programmatic variables associated with the odds a resident successfully completed the JPRP. Outcomes included employment readiness, employment status, housing status, and family relationships at JPRP completion. Alumni data was self-reported from a convenience sample. RESULTS: Of the 447 residents in the study, 68% entered Discovery Track (approximately 30 days), 38% entered Transitional Track (approximately 270 days), and 35% graduated from the JPRP. Discovery Track is considered to be the “engagement phase”; 302 residents (100%) were engaged in JPRP using day 1 of the Discovery Track as the denominator, and the 12-month retention rate was 51% based on the number of residents who entered Discovery Track, or 35% based on the number who entered Motivational Track. Being court-ordered (on probation) at JPRP intake (OR 3.355; CI 1.479, 7.61), participating in regular case management meetings (OR 9.47; CI 3.822, 23.476), and gaining employment while in the JPRP (OR 58.856; CI 26.087, 132.791) were associated with higher odds of successful JPRP completion. Of the residents who completed the JPRP, 59% were actively engaged alumni, and 76% had not returned to use. CONCLUSION: Being court-ordered to attend a SUD program at JPRP intake, attending regular case management meetings, and gaining employment while in the JPRP were associated with successful JPRP completion. JPRP offerings of family restoration support, intensive case management, employment opportunities, and active alumni engagement have facilitated long-term recovery and reduced return to use. </p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"46"},"PeriodicalIF":3.4,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12542339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145347370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Initial stakeholder perceptions around opioid settlement funds in Pennsylvania.","authors":"Halie Kampman, Kristina Brant, Maya Weinberg, Glenn Sterner, Brian King","doi":"10.1186/s13011-025-00665-7","DOIUrl":"10.1186/s13011-025-00665-7","url":null,"abstract":"<p><strong>Background: </strong>The opioid epidemic continues to pose significant challenges in the United States, with over 75% of nearly 107,000 drug overdose deaths in 2022 involving opioids. Recently, efforts to curb the epidemic have made strides. Beginning in the early 2000s, local and state governments filed a series of lawsuits against opioid manufacturers and distributors. The lawsuits held that manufacturers and distributors knew about the potential addictive nature of these painkillers and withheld this information from providers, leading to overprescription and overdose. The current settlement funds allotted to Pennsylvania amount to approximately 2 billion USD, can be spent over the next 18 years, and are distributed at the county level. This paper investigates the early perceptions of local government officials and substance use service providers in Pennsylvania regarding the rollout of settlement funds and their decisions about how to use them.</p><p><strong>Methods: </strong>This paper draws on 66 semi-structured interviews and 6 focus groups conducted in 2023 across six Pennsylvania counties. Interviews were audio-recorded, transcribed and inductively coded using NVivo software.</p><p><strong>Results: </strong>Findings reveal an initial sense of confusion among participants about navigating the funding process, exacerbated by unclear guidelines and insufficient support from state-level officials. Despite these challenges, participants express optimism about the potential for innovative, locally focused projects to effectively address the impacts of the epidemic. Emphasizing the importance of community involvement and transparency, the study highlights a collective commitment to ensuring that funds reach those most affected by the crisis. Yet still, some participants recognized the limits of the settlement funds in addressing the deep trauma that their communities have experienced.</p><p><strong>Conclusions: </strong>The recommendations underscore the necessity for better systems to outline funding processes, promote best practices, and enhance inter-county collaboration. This research contributes valuable insights into the decision-making dynamics surrounding opioid settlement funds and lays the groundwork for future investigations into their long-term impacts and efficacy.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"45"},"PeriodicalIF":3.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12532837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}